Test Prep NREMT Exam Actual Questions
National Registry Emergency Medical Technician (Page 17 )

Updated On: 17-Jul-2026

During transport, an 86-year-old patient becomes unresponsive. The airway is open, and the patient has adequate spontaneous breathing. How should an EMT position this patient?

  1. Supine
  2. Fowler
  3. Recovery
  4. Trendelenburg

Answer(s): C

Explanation:

An unresponsive patient who is breathing adequately should be placed in the recovery position to help keep the airway open and reduce the risk of aspiration.



Which of the following are signs of a complete airway obstruction? (Choose two.)

  1. Stridor
  2. Seizure
  3. Cannot speak
  4. Inability to cough
  5. Poor air exchange

Answer(s): C,D

Explanation:

A complete airway obstruction prevents any airflow, so the patient cannot speak or cough because air cannot move through the airway at all.



А 6-year-old patient has difficulty breathing. Lung sounds reveal wheezing. The patient’s skin is cool and clammy. The respiratory rate is 32/min, and SpO2 88% on room air.
Which of the following actions should the EMT administer to this patient first, and why?

  1. Administer oxygen via NRB, because of the low SpO2
  2. Administer oxygen via blow-by method, because of the patient's age
  3. Administer oxygen via BVM, because of the signs of respiratory failure
  4. Administer nebulized albuterol, because of the bronchoconstriction

Answer(s): D

Explanation:

Wheezing indicates bronchoconstriction, and the patient is still breathing spontaneously despite distress. Administering a bronchodilator addresses the underlying cause by opening the airways and improving ventilation.



An EMT assists a 29-year-old patient with a metered dose inhaler. After the patient inhales the medication, what should the EMT instruct the patient to do?

  1. Breathe normally
  2. Exhale a long and slow breath
  3. Hold breath for 5-10 seconds
  4. Purse lips and blow out forcefully

Answer(s): C

Explanation:

Holding the breath for several seconds after inhalation allows the medication to deposit deeper into the lungs and improves its effectiveness.



А 51-year-old female was just removed from a house fire. Emergency medical responders have administered oxygen via nasal cannula. They report her vital signs are P 140, R 8 and shallow. She is confused and her skin is cyanotic and cool. You should:

  1. increase the oxygen flow rate.
  2. begin transport and treat her en route.
  3. ventilate her with a BVM.
  4. administer oxygen via non-rebreather mask.

Answer(s): C

Explanation:

The patient has inadequate respirations with a low respiratory rate and shallow breathing, indicating respiratory failure. Assisted ventilations with a bag-valve mask are required to provide adequate oxygenation and ventilation.



А 69-year-old patent has worsening respiratory symptoms secondary to congestive heart failure.
Which of the following actions are proper techniques for auscultating the patient’s lung sounds? (Choose three.)

  1. Listen for a full respiratory cycle
  2. Auscultate bilateral lung bases first
  3. Place the stethoscope over bare skin
  4. Auscultate over both scapulae for posterior sounds
  5. Have the patient lie supine to assess the anterior sounds
  6. Firmly press the stethoscope against the lateral chest wall

Answer(s): A,C,D

Explanation:

A full respiratory cycle must be assessed to accurately evaluate breath sounds. The stethoscope should be placed directly on bare skin to avoid interference. Posterior lung sounds are best assessed by auscultating around the scapular areas.



A patient is unresponsive and apneic after a suspected neck injury.
Which of the following actions should be the EMTs primary concern while providing positive pressure ventilation?

  1. Maintain a patent airway
  2. Immobilize the head and neck
  3. Deliver each breath over 2 seconds
  4. Attach the bag-valve-mask to oxygen

Answer(s): A

Explanation:

Effective positive pressure ventilation requires an open airway to allow air to reach the lungs, making airway patency the primary concern even when a spinal injury is suspected.



How would oxygen be administered to a patient who is experiencing chest pains, if a pulse oximeter is available?

  1. Contact the medical direction team to find out the correct oxygen therapy.
  2. Administer oxygen so that you maintain a pulse oximeter reading of 93% or less.
  3. Administer oxygen in order to maintain a pulse oximeter reading of at least 94%.
  4. You must always administer oxygen at 15 LPM via a non-breather mask.

Answer(s): C

Explanation:

Oxygen must be administered as deemed necessary, in order to maintain a pulse oximeter of at least 94%. High flow oxygen is not recommended anymore for patients who have no signs of hypoxia and who have a pulse oximeter reading of at least 94%.



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